Individual provider Active NPI

Suresh Ambati, R.PH

  • Pharmacist
  • Carrollton, TX
National Provider Identifier
1699866517
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
47561 Issued in TX
Practice address
1110 N Josey LN Ste 104
Carrollton, TX 75006-6144
Phone
(941) 387-4034
NPI assigned
Sep 27, 2006
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS38904 FL
Pharmacist 183500000X 28R103560100 NJ
Pharmacist 183500000X 20 057987 NY
Pharmacist 183500000X 47561 TX Primary

Addresses

Primary practice location

1110 N Josey LN Ste 104
Carrollton, TX 75006-6144

Mailing address

1110 N Josey LN Ste 104
Carrollton, TX 75006-6144
Phone (941) 387-4034

Other identifiers 1

IdentifierTypeStateIssuer
47561OtherTXPHARMACIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS38904FLMDPharmacist
28R103560100NJMDPharmacist
20 057987NYMDPharmacist
47561TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Galarx LLC CurrentSince Jan 26, 2022 Accepting new patients

Locations

1110 N Josey Ln
Ste 104
Carrollton, TX 75006
Phone (941) 387-4034

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1699866517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N JOSEY LN STE 104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066144",
            "telephone_number": "941-387-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N JOSEY LN STE 104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066144",
            "telephone_number": "941-387-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBATI",
        "first_name": "SURESH",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS38904",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28R103560100",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "20 057987",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "47561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "47561",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.